The holder whose full name is KAWAMURA, MISAO GEORGE,come from WEST SENECA NY,hold the Physician license(NO.01040245A) which status is Expired Non-Renewable.
Name | KAWAMURA, MISAO GEORGE |
---|---|
License Number | 01040245A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WEST SENECA |
State | NY |